Prophylactic Mastectomy to Prevent Breast Cancer

Women with a family history of breast cancer, as well as those who have tested positive for the BRCA gene mutation, often face the question of whether to have a preventative mastectomy.

Dr. Oren Lerman is a highly regarded breast reconstruction surgeon dedicated to providing the best in care to breast cancer patients. With his specialized training and compassionate bedside manner, he can perform the most advanced reconstructive procedures after preventative (prophylactic) mastectomy.

Learn more about your options for prophylactic mastectomy and reconstruction at our Manhattan, NY, office...

Candidates  for a Preventative Mastectomy

Deciding to have a prophylactic mastectomy to reduce the risk of developing breast cancer can be one of the most personal and difficult decisions a woman makes in her life. Recent advances in breast reconstruction techniques have given patients more options than ever; these options enable the patient and surgeon to select a procedure that best meets the individual patient's needs.  

Important Considerations

One out of every eight women in the United States develops breast cancer. Most cases occur in the later decades of life. Some women, however, are at a significantly increased risk of developing breast cancer at a young age. For these women, breast cancer can occur much earlier, and the odds of developing it can be as high as 80 percent. 

To reduce this risk, these women may choose to undergo a prophylactic mastectomy. High risk patients include those with:

If you are considering a preventive mastectomy, Dr. Lerman can help you explore your options for reconstruction during a consultation at his Manhattan practice...

Deciding to Have a Prophylactic Mastectomy

Patients should work closely with health professionals to educate themselves on treatment options. The decision to go through with a preventative mastectomy is generally not an urgent one, and patients should give themselves the time to weigh the pros and cons. Patients may also want to meet with a breast surgeon and genetic counselor, as well as a reconstructive plastic surgeon who specializes in breast reconstruction. We invite you to meet with Dr. Lerman at his Manhattan practice if you have questions about breast reconstruction.

Nipple Sparing Mastectomy

Traditional mastectomy techniques remove the nipple and areola with the breast tissue. When performing a prophylactic mastectomy, many patients choose to have a nipple sparing technique where the entire nipple and areola are preserved as part of the skin and only the breast tissue is removed. When the most advanced breast reconstructive techniques are combined with nipple sparing mastectomy surgery, a patient can look as if no mastectomy was ever performed

Indeed, in some patients, the reconstructive surgery can actually improve the appearance of the breast. Nipple sparing techniques have their own set of challenges and should be performed by an experienced team including the breast surgeon and a specialized reconstructive plastic surgeon such as Dr. Oren Lerman in Manhattan.  

Reconstruction Options

Women who choose to undergo a preventative mastectomy can benefit from a number of recent innovations in breast reconstruction techniques. A number of less invasive and more natural breast restoration options are available:

  • DIEP flap 
  • GAP flap 
  • PAP flap 
  • TUG flap  
  • TAP flap surgeries.

Patients can also benefit from advances in implant reconstruction, whether done in a two stage manner with a tissue  expander, or with a Direct-To-Implant one stage reconstruction. The Direct-To -Implant reconstruction avoids months of tissue expansion and a second surgery. All of these techniques allow woman undergoing prophylactic mastectomy to go back to their normal lives with the knowledge that they may very well look as good or better than they did before surgery. Your options have never been greater, and with a breast reconstruction specialist who can offer you all the most advanced options, you can enjoy improved peace of mind during the process when you are contemplating prophylactic mastectomy.  The knowledge that you can look and feel beautiful and comfortable with your body after surgery often gives woman the power they need to make the decision to proceed with this potentially life saving risk reduction surgery. Dr. Lerman's Manhattan practice is dedicated to helping women achieve an enhanced appearance and satisfaction through breast reconstruction.

Contact Us Today

Dr. Lerman and his team feel strongly that the decision to undergo preventive mastectomy cannot be made until you have learned about all of your reconstructive options. There is no single option that can satisfy the needs of all patients. Natural tissue perforator flaps may be the best option for some, while implants may be better for others. It is also possible to switch from one to the other later in life. It is imperative that you have all the options available offered to you by your reconstructive surgeon in order to be able to make the right choice for yourself. Please contact our Manhattan practice today to schedule a consultation and learn about the therapies available to you.

Dr. Oren Lerman

Oren Z. Lerman, MD

Dr. Oren Lerman performs a variety of cosmetic and reconstructive procedures with a specialty in reconstructive breast surgery. In fact, he is the director of breast reconstruction at Lenox Hill Hospital's Institute for Comprehensive Breast Care as well as the Microvascular and Cosmetic Breast Fellowship. In addition to the hospital, Dr. Lerman is affiliated with:

  • The New York Regional Society of Plastic Surgeons (Past President)
  • The American Board of Plastic Surgery (Diplomate)
  • The American College of Surgeons (Fellow)
  • The American Society of Plastic Surgeons
  • The American Society of Reconstructive Microsurgery

You can schedule a consultation with Dr. Lerman by filling out our online form or calling (212) 434-6980.

Contact Us Today

"The one thing that is most important when we're doing cosmetic surgery and aesthetic surgery of the face or the body is to make sure that the patient is happy afterwards..." Dr. Oren Lerman

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